HomeMy WebLinkAboutWAI2024-00071 - WAI Health Waiver - 7/22/2024 MASON COUNTY
COMMUNITY SERVICES
Building,Planning,Emirmmenml Health,Community Health
415 N 6"Street, Bldg 8, Shelton WA 98584,
Shelton: (360)427-9670 ext 400 O Belfair: (360)2754467 ext 400 ss Elma: (360)482-5269 ext 400
FAX (360)427-7787
Application for W
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Amount Paid: ,Lys mc
Receipt Numbers?q-_3Ici--� JUL 2 2 2024
Instructions
1. Complete Parts 1 and 2. No determination can be made until these pans are fully completed.
2. Fees maybe billed for waivers and appeals, based on the Environmental Health Fee Schedule.
3. Submit completed application with attachments to Mason County Public Health for review.
PART 1. Applicant/Parcel Identification
Nameof Applicant '0Qtrer\ 1Z M;1\ef Telephone 3(y❑-62\-3530
Mailing Address of Applicant SLMLA E Ca1\Yr15 ?�
City \dick nrcicir[ State VA Zip cy?'ib6
12-digit Tax Parcel No. -7-- Z j— O -S- - a .5- - Q
Site Address l26 E OWtAplf� Df C,raV=xl
Subdivision Name and Lot 1%ra"Ime. Shnre. ES*AktS lnk$9
PART 2: Nature of Waiver/Appeal
❑ Contractor Certification Requirements
❑ Class B Reduction in Vertical (Installer, Pumper, O&M Specialists)
❑ Separation ❑ Food Sanitation Requirements
❑ Building Permit Review Policies ❑ Group B Water System Regulations
t( Location, WAC 246-272A-0210 ❑ Water Adequacy Requirements
❑ Holding Tank WAC 246-272A-0240 ❑ Enforcement Timelines
❑ Mason County Onske Standards ❑ Departmental Determinations
❑ Other
Description of Waiver/Appeal (include justification, additional material may be attached.):
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Applicant signature: Date: T 19 i 2014
J:TH Forms\Waiver-Appeal Mason County Local Revised 1/20/2017
Page I of2
PART 3: Public Health Evaluation (Staff Use Only)
1. Type of Determination Required: Type of Onsite Waiver(if applicable)
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Appeal XWaiver ❑ None required ❑ Class A ❑Class B ❑ Class C ✓�
2. Identification of Specific Code/Standard/Determination (include date of determination or latest Code/
Standard revision) L-7�zc)7/1 L
3. Nature of Appeal: 1
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4. Hearing Official:
❑ Board of Health ❑ Health Officer
❑ Pollution Control hearing Board ❑ Public Health Director
❑ Certified Contractor Review Board Environmental Health Manager
5. Mitigating Factors; (\��A A a
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6. 1 have received this waiver/appeal request. It is complete and mitigation required by the state and
local policy has been submitted.
Staff Signature: Date: Z-
PART 4: Determination of the Hearing Official
The hearing official has determined that approval of this request will not adversely affect public health and
is hereby gnitnted.This decision is based on the following findings and conditions:
❑ The hearing official has determined that approval of this request could potentially adversely effect public
health and is hereby denied.This decision is based on the following findings and conditions:
Hearing Official Signature: Date:
1:\EH Forms\Waiver-Appeal Meson County Local Revised 120/2017
Page 2 of 2
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Rhonda Thom son
Nicole Norris
From:
Sent: Thursday,July 18,2024 9:16 A
Se
Se Rhonda Thompson
Subject RE:Set backs 120 a olympic
Hi Rhonda!
nd include it with the plans as well as upload it into SG.
This will workfor us.I will print outthe letter a
Does that suffice for you?
Thanks
Nicole Norris, Building Inspector II
MCCS, Building Department
615 W Alder St.
Shelton, WA. 98584-0186
(3602 427-9670
Ext 408
From:Rhonda Thompson<RThompson@masoncountywa.gov>
Sent:Friday,July 12,202412:54 PM
To:Nicole Norris<NNorris@masoncountywa.gov>
Cc:Darren Miller<kspdarren@outlook.com>
Subject:FW:Set backs 120 a olympic
Hey Nicole,
Can you peak at this new building she plan for BLD2024-00244?They have reduced the size of the home and
included a letter from an engineer stating it is ok to omit the footing drains in the areas to close to will the havcirse field
.if you can give me the CK,
and reserve.I setback for drains
apply fora ocaewav erto ren a dine indicating,the uce ce our EH setbacks.Then I willtellthem that also need new con
sinceplans
m
since the home is getting smaller.
Thanks,
Rhonda Thompson, RS
Senior Environmental Health Specialist
Mason County Public Health
415 N 6r St.Shelton,WA 98584
360-427-9670 ext.581
Rthompson@masoncountywa.gov
From:Darren Miller<4 d en >
Sent:Friday,July 12,202410:57 AM
To:Rhonda Thompson<RThomoson@masoncountvwa.zov_>
Cc: Kathy Cloninger<o- I 19999(amsn com>
Subject:set backs 120 a Olympic
1